So recently I’ve had labs run. A while back I started taking androgel for t in the 200 range in March. I don’t feel any better atm, likely due to high e2.
Recently I saw an endo at the polyclinic, who wants to put me on clomid, and drop the androgel, because he feels it’ll be sufficient to restart my natural production, as the issue is pituitary, not testicular. He says a med I take, suboxone, is supressing lh and fsh. However I did not have new labs for the appointment.
However, upon running labs post appointment, of which I had to specifically request to run e2, some things came back abnormal.
My e2 serum levels, which weren’t checked until now, are very high.
I’ll post what I have of the labs below, they aren’t being released all at once to me online.
Testosterone total serum 1070 (a big jump from gel)
Estradiol serum 448 (400 points over the normal high end)
My thyroid tests were all within the normal range.
My prolactin, which had been high at 16 (mri was clean) is now down to 8.
I do not believe he ran dhea, dht, and maybe not even fsh and lh.
Overall I came away feeling like I need to see a different doctor.
After seeing the e2 so high, I asked if an AI would be better suited. He said he felt like taking a half dose of androgel for two weeks, while taking clomid, would be fine. While aromatase is clearly an issue, is taking less t going to drastically improve my already sky high e2? The ratio of t to e is almost 2 to 1.
I also had been taking alpha from jym, which contains fenugreek, and tribulus. I also take 100mg dhea daily. I now understand these could raise e2 as well? I’ve also started using less androgel.
My igf was measured low a few months ago by another doctor as well, not sure of it’s of consequence.
I have not started taking the clomid.
I’m going to try to start taking ic3, dim, and calcium d glutarate. But I think I really need an AI.
What should I do?